Specialist Accountants for GPs, Consultants & Locum Doctors
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Accounting and tax support for GPs with NHS income, private work, practice interests or additional professional earnings.
Support with Self Assessment, professional expenses and tax matters alongside employment income and other professional earnings.
Accounting support for consultants managing NHS employment, private practice income, professional expenses and tax obligations.
Support with Self Assessment, locum income, allowable expenses, bookkeeping and relevant business structure considerations.
Tax and accounting support for salaried doctors with additional professional income or expenses requiring reporting.
Accounting support for doctors providing private medical services through individual practices, partnerships or companies.
Preparation and support for doctors with employment, locum, private practice or other taxable income.
Help organising accounting records where income comes from NHS work, private services, locum assignments or other professional activities.
Accurate records built around the way GP practices, partnerships and locum doctors actually work, with cloud software set up for you.
Incorporation reviews for private practice, profit extraction, capital allowances and timing of income to keep your effective tax rate down.
Contract and IR35 status reviews, limited company versus sole trader comparisons and expense claims for locums working across multiple trusts.
Doctors often accumulate a more complicated financial picture than their colleagues in other professions, largely because income can arrive from several sources at once. The challenges below are common considerations rather than universal ones — how far each applies to you depends on your employment status, income sources and business structure.
We support GPs, locum doctors, consultants and other medical professionals with accounting and tax matters tailored to their individual circumstances.
GMC and indemnity fees, royal college subscriptions, exams, courses, equipment and mileage — nothing left on the table.
We calculate your pension input amount, check tapering and advise on Scheme Pays before a charge becomes a problem.
Status reviews on your engagements and a clear answer on limited company versus sole trader for your circumstances.
Returns, accounts and payroll filed on time, with reminders well in advance so penalties never happen.
One agreed monthly fee, quoted up front, with no hourly billing and no surprise invoices.
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
We use Xero, Quickbooks, Sage & many other online software.
Meet, call or email the same qualified accountant who knows your practice and your pension position.
Free telephone & email support
throughout the year.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our specialist healthcare accountants handle everything. Switching part way through the year is straightforward and you never need to speak to your old accountant:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Not every doctor does. If you are solely employed on PAYE with no additional income, no private work and no significant expenses to claim, your tax affairs may be manageable without professional help. However, most doctors with locum income, private fees, consultancy work, medico-legal income, a practice partnership or a limited company have reporting obligations that benefit from specialist support. An accountant can help you declare income correctly, identify expenses you may be entitled to claim, and plan ahead rather than discovering an issue after the filing deadline.
Your NHS salary is normally taxed through PAYE, but private fees, locum earnings and consultancy income are generally self-employment or untaxed income that must be reported through Self Assessment. The two sit side by side in one return, and the tax already deducted through PAYE is taken into account when your overall liability is calculated. Getting this right depends on keeping accurate records of private income and related expenses, and on understanding which costs relate to which activity. We can prepare and file the return and explain how the figures fit together.
Commonly claimed items include medical indemnity or professional indemnity insurance, professional body subscriptions, registration fees where they are required for your work, relevant training and continuing professional development, specialist equipment, and business travel or mileage between work locations. Whether a particular cost can be claimed depends on your employment status, whether the expense was incurred wholly and exclusively for your professional or business activities, and whether it has already been reimbursed. Because the rules vary, it is worth reviewing your specific costs rather than assuming a standard list applies.
Yes. Locum work often produces irregular income from multiple sources, along with travel between sites and periods where no work is booked. We can help you keep track of earnings and expenses across contracts, record mileage and travel properly, and report the resulting profit correctly on your Self Assessment return. Where locum work is combined with salaried NHS employment or private practice, we look at the whole picture rather than treating each element in isolation.
There is no single answer that suits every doctor. Sole trader or partnership arrangements are common for private practice and consultancy work, while some doctors use a limited company, which brings different reporting requirements such as statutory accounts, Corporation Tax and payroll obligations. The right choice depends on your income levels, how many people are involved, how profits are shared, your pension position and your longer-term plans. We can talk through the implications of each structure so you can make an informed decision.
VAT is not automatically applicable to all medical services, and the position depends on the nature of the services you provide and your overall taxable turnover. Some medical services are exempt, while others may not be. If your private or consultancy income grows it is worth reviewing whether registration becomes necessary and how it would affect your pricing and record keeping. We can assess your circumstances and help with registration and returns where VAT applies.
Yes. Much of the accounting work we carry out for doctors is handled through secure digital document sharing, email and video or telephone calls, so you are not required to attend in person for routine matters. That said, some doctors prefer a mix of remote contact and scheduled reviews. What matters most is that your records are organised, your questions are answered clearly, and your filing obligations are met on time.
Changing accountants is usually far simpler than doctors expect. We can contact your existing accountant on your behalf to request the records and information we need, subject to your authorisation, and we will confirm the position with HMRC so that correspondence comes to us. If your previous returns were filed some time ago, we will review the information to understand your current position before we take anything on. From there, we agree what support you need and put it in place.
